KEY WORDS: Breath-holding spell
Corrected QT Electroencephalography Iron deficiency anemia.
Some parents may be alarmed about epilepsy, but it may help to describe a typical breath-holding spell
Although there is controversy as to whether or not all patients presenting to the emergency department should be admitted (Claudius & Keens, 2007), to not deviate from the standard of care (Goldberg, Schwartz, & Picard, 2007), there would need to be clear and convincing evidence that the infant only experienced a breath-holding spell
. Of the 3% of infants experiencing breath-holding spells
, 15% to 25% present under six months of age and are marked by an emotional precipitating event (DiMario, 2001).
Q My toddler had a cyanotic breath-holding spell
after a fall where he struck his head on concrete from a height of about four to five feet.
If your child's doctor confirms that the episode was indeed a breath-holding spell
, your child may be checked for anemia.
After a first breath-holding spell
occurs, a pediatrician should evaluate your child.
Comment: Iron supplementation, regardless of the child's iron status, appears to treat breath-holding spells
(BHS) are the most common form of non epileptic paroxysmal events in infancy,yet to date, their precise etiopathogenesis remains unknown.
A recent case control study from Turkey reported maturation delay in myelination of the brainstem as assessed from the interpeak latencies on brainstem auditory evoked potential, as the cause of Breath-holding spells
.  Pallid and cyanotic Breath holding spells both are frequent causes of syncope and anoxic seizures in early childhood.
occur between the ages of 6 months and 5 years in children.
Some of the most common are syncope, breath-holding spells
, benign paroxysmal vertigo, pseudo-seizures and episodic dys-control or rage attacks.
(cyanotic and pallid infantile syncope).